Unknown Individual – Social Worker, NPI 1073668109

Unknown Individual is a healthcare provider. based in Alpena, Michigan. specializing in Social Worker. They hold a License No. 6801058514 (MI). The NPI Number for Unknown Individual is 1073668109

Main info

Organization
Inactive
36 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1073668109
Phone
(989) 356-7390
Address
1501 W CHISHOLM ST
Deactivation Date
23 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9893567242
Graduation Year
1990 (36 years ago)
PAC ID
3375633688
Group Practice PAC ID
8527969922
Professional Enrollment ID
I20071226000124
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Alpena Regional Medical Center, 1501, West Chisholm Street, Alpena, Alpena County, Michigan, 49707, United States

    ALPENA, MI 497071401

    Phone: (989) 356-7390

    Fax: (989) 356-8013

    Type: Location

  • 202, South 1st Avenue, Alpena Junction, Alpena, Alpena County, Michigan, 49707, United States

    ALPENA, MI 497073808

    Phone:

    Fax: (989) 356-8013

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49707)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527969922View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
O B S T E T R I C S/ G Y N E C O L O G YMI
-MI
Nurse PractitionerGA
Certified Registered Nurse Anesthetist (Crna)MI
Nurse PractitionerMI
-MI
Family PracticeMI
Physician AssistantMI

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1073668109 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Social Worker. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Alpena, Michigan because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1073668109. Always confirm identity and privileges with the practice and licensing boards.

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